Custom Footwear Modification


Custom footwear modifications is a specialty service performed by OKAPED Pedorthists and our Pedorthic technicians. We are trained in orthopaedic modifications of footwear to improve function, accommodate deformities, improve foot and leg biomechanics and alignment as well as simply making your footwear fit your unique foot shape. From internal to external lifts, custom stretching, wedging, widening a shoe to altering the pitch and angle of your footwear, OKAPED does it all.

What is a Pedorthist?


Canadian Certified Pedorthists are healthcare professionals trained in the assessment of lower limb anatomy and biomechanics. They specialize in the design, manufacture and fit of orthotics, footwear and braces for the knee, lower leg, ankle and foot. Their goal is to help you recover and gain full mobility.

Rocker Sole Modification

OKAPED’s Pedorthists have specialized training in footwear modifications. Once a biomechanical issue has been identified, like ankle OA and limited motion, the clinician selects the most appropriate footwear modification to supplement lost motion. Rocker sole modification design is and fabrication varies depending upon the region being treated or addressed. Three common regions of the foot addressed with this modification is pain or limited motion at the MTP joints (ball of the foot) painful or limited motion in the midfoot, and also painful or limited motion at the ankle. The placement of the beginning of the rocker is determined by the location of limitation or pain. In essence, one type of Rocker sole does not best address all issues. Clinical experience, gait and alignment observation along with hands on functional assessment help dictate treatment variable.

Modifications available.

OKAPED’s Pedorthists have specialized training in observing client’s walking and running patterns (Gait). It is crucial that a gait analysis is performed on each client to help determine what types of treatments should be considered. Foot and leg alignment may appear one way when a client sits, stands or is laying prone or supine on an exam table but true understanding of what type of gait pattern they have only occurs when the client is actually walking or running.

OKAPED clinicians use HD Slow Motion Video analysis to aid in analyzing your gait. Many motions are imperceptible to the naked eye and OKAPED has used the advantages of Video from its 1st day in operation.

Runners will be asked to run as well so please bring your current and old runners. We need to analyze a slow motion video of runners as a standing analysis or simply watching a person walk can not be extrapolated into how someone will run.

If your injury or concerns are related to cycling or to skiing you should book a sport specific assessment for those sports.

Contact us to book an appointment for your knee, ankle, or foot condition.